EJVES Vascular Forum最新文献_第10页

Type III Arch Angulation Increases Aortic Pulse Wave Velocity in an Ex Vivo Porcine Model 在猪体内模型中，Ⅲ型弓成角可提高主动脉脉搏波速度

IF 0.6

EJVES Vascular Forum Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.034

Tim Mandigers ∗ , Ariel Pascaner , Michele Conti , Martina Schembri , Sonja Jelic , Daniele Bissacco , Maurizio Domanin , Joost Van Herwaarden , Ferdinando Auricchio , Santi Trimarchia

引用次数: 0

A Rare Case of Upper Limb Phlegmasia Cerulea Dolens 一个罕见的多发性上肢痰症病例

IF 0.6

EJVES Vascular Forum Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.049

Leandro Nóbrega ∗ , Lara Dias , José Almeida Lopes , Pedro Paz Dias , Sofia Silva , Armando Mansilha

引用次数: 0

Open E-survey on the Use and Perception of Chatbots in Vascular Surgery 关于聊天机器人在血管外科中的使用和认知的公开电子调查

IF 1.4

EJVES Vascular Forum Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.07.037

Fabien Lareyre , Mario D'Oria , Caroline Caradu , Vincent Jongkind , Gilles Di Lorenzo , Matthew R. Smeds , Bahaa Nasr , Juliette Raffort

{"title":"Open E-survey on the Use and Perception of Chatbots in Vascular Surgery","authors":"Fabien Lareyre , Mario D'Oria , Caroline Caradu , Vincent Jongkind , Gilles Di Lorenzo , Matthew R. Smeds , Bahaa Nasr , Juliette Raffort","doi":"10.1016/j.ejvsvf.2024.07.037","DOIUrl":"10.1016/j.ejvsvf.2024.07.037","url":null,"abstract":"<div><h3>Objective</h3><p>Large language models and artificial intelligence (AI) based chatbots have brought new insights in healthcare, but they also raise major concerns. Their applications in vascular surgery have scarcely been investigated to date. This international survey aimed to evaluate the perceptions and feedback from vascular surgeons on the use of AI chatbots in vascular surgery.</p></div><div><h3>Methods</h3><p>This international open e-survey comprised 50 items that covered participant characteristics, their perceptions on the use of AI chatbots in vascular surgery, and their user experience. The study was designed in accordance with the Checklist for reporting Results of Internet E-Surveys and was critically reviewed and approved by international members of the European Vascular Research Collaborative (EVRC) prior to distribution. Participation was open to self reported health professionals specialised (or specialising) in vascular surgery, including residents or fellows.</p></div><div><h3>Results</h3><p>Of the 342 individuals who visited the survey page, 318 (93%) agreed to participate; 262 (82.4%) finished the survey and were included in the analysis. Most were consultants or attending physicians (64.1%), most declared not having any training or education related to AI in healthcare (221; 84.4%), and 198 (75.6%) rated their knowledge about the abilities of AI chatbots between average to very poor. Interestingly, 95 participants (36.3%) found that AI chatbots were very useful or somewhat useful in clinical practice at this stage and 229 (87.4%) agreed that they should be systematically validated prior to being used. Eighty participants (30.5%) had specifically tested it for questions related to clinical practice and 59 (73.8%) of them experienced issues or limitations.</p></div><div><h3>Conclusion</h3><p>This international survey provides an overview of perceptions of AI chatbots by vascular surgeons and highlights the need to improve knowledge and training of health professionals to better evaluate, define, and implement their use in vascular surgery.</p></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages 57-63"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24001333/pdfft?md5=47ef6fe3b374c40f1260077c7fdd477f&pid=1-s2.0-S2666688X24001333-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the Differences in Skeletal Muscle Between Patients with Chronic Limb-Threatening Ischemia and Claudication 探索慢性肢体缺血和跛行患者骨骼肌的差异

IF 0.6

EJVES Vascular Forum Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.068

Joana Ferreira ∗ , Adhemar Longatto-Filho (Prof) , Julieta Afonso (Prof) , Susana Roque (Prof) , Alexandre Carneiro , Isabel Vila , Pedro Cunha (Prof) , Armando Mansilha (Prof)

引用次数: 0

Optical Coherence Tomography as Therapeutic Imaging Modality in Intravascular Lithotripsy of Human Peripheral Vasculature 将光学相干断层成像技术作为人体外周血管血管内碎石术的治疗成像模式

IF 0.6

EJVES Vascular Forum Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.014

Rohit Mehra ∗ , Vikram Patra , Rishi Dhillan

引用次数: 0

Influence of Clinical Status and Dissection Morphology on Transfusion Volume in Acute Aortic Dissection Surgery 急性主动脉夹层手术中临床状态和夹层形态对输血量的影响

IF 0.6

EJVES Vascular Forum Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.011

Yohnosuke Wada ∗ , Naoyuki Kimura , Mitsunori Nakano , Yohei Nomura , Daijiro Hori , Manabu Shiraishi , Atsushi Yamaguchi

引用次数: 0

Area Based Analysis of Long Term Aortic Remodelling After Endovascular Repair for Type B Aortic Dissection B 型主动脉夹层血管内修复术后主动脉长期重塑的区域分析

IF 0.6

EJVES Vascular Forum Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.037

Kun Fang ∗ , Jiawei Zhao , Zhongze Cao , Mingyao Luo , Hui Wang , Tun Wang , Chang Shu

引用次数: 0

IF 0.6

EJVES Vascular Forum Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.038

Eugenio Martelli ∗ , Matilde Zamboni , Giovanni Sotgiu , Laura Saderi , Massimo Federici , Giuseppe Sangiorgi , Mariangela Valentina Puci , Allegra Rosa Martelli , Teresa Messina , Paolo Frigatti , Maria Pia Borrelli , Carlo Ruotolo , Ilaria Ficarelli , Paolo Rubino , Francesco Pezzo , Luciano Carbonari , Andrea Angelini , Edoardo Galeazzi , Luca Calia di Pinto , Franco Michelino Fiore , Alberto Maria Settembrini

引用次数: 0

Primary Aorto-Enteric Fistula With a Subsequent Secondary Aorto-Enteric Fistula 原发性肠主动脉瘘伴继发性肠主动脉瘘

IF 0.6

EJVES Vascular Forum Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.05.005

Iris Kärjä , Venla Soini , Olli Hautero , Maarit Venermo

{"title":"Primary Aorto-Enteric Fistula With a Subsequent Secondary Aorto-Enteric Fistula","authors":"Iris Kärjä , Venla Soini , Olli Hautero , Maarit Venermo","doi":"10.1016/j.ejvsvf.2024.05.005","DOIUrl":"10.1016/j.ejvsvf.2024.05.005","url":null,"abstract":"<div><h3>Objective</h3><p>Primary aorto-enteral fistula (PAEF) is a connection between the gastrointestinal tract and the aorta that occurs without previous aortic surgery. The aetiological factors include, but are not limited to, aneurysm, infection, and tumours. It is a life threatening condition if untreated and requires emergency vascular surgical repair. A secondary aorto-enteric fistula (AEF) can occur to a previously reconstructed aorta. This case report presents a unique case of a male patient who developed a primary AEF and subsequent secondary AEF with successful surgical outcomes, suggested to be due to tuberculous aortitis.</p></div><div><h3>Report</h3><p>The patient was diagnosed and treated for tuberculosis and developed a saccular aneurysm within six months. The PAEF was surgically corrected with a tube graft using a bovine pericardial patch, the defect in duodenum was sutured, and a retrocolic omental flap was created between the duodenum and aorta. He developed a small stable pseudoaneurysm during follow up, and then a secondary AEF two and a half years later, in which a connection between the pseudoaneurysm and duodenum was corrected using a new bovine aorto–aortic interposition graft using a bovine pericardium patch. The defect in the duodenum was also sutured in two layers and a new omental flap was created.</p></div><div><h3>Discussion</h3><p>The mortality rate of AEF is high and it is very unlikely that a patient will survive two AEFs without major complications. It is believed that there are extremely few double AEF cases described in the literature. The aetiological factor in the development of PAEF in this case was most likely the patient's aortic aneurysm, which was most likely of mycotic origin due to tuberculosis. The patient developed a pseudoaneurysm during follow up and it is uncertain whether the pulsatile pressure of the pseudoaneurysm led to the recurrence of the AEF.</p></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Pages 132-135"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000856/pdfft?md5=c0c27278deb2a372d088aea5c9983c62&pid=1-s2.0-S2666688X24000856-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Salvage Aneurysmorrhaphy as an Adaptable and Still Pertinent Technique in the Management of Challenging True Aneurysms of Arteriovenous Fistulas: A Case Series of Different Variations, With Illustrative Surgical Pictures 动脉瘤夹闭术是治疗动静脉瘘真性动脉瘤的一种灵活而又实用的技术：不同变异的病例系列，附手术插图

IF 0.6

EJVES Vascular Forum Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.05.002

Homa Pourriyahi , Homayoun Pourriahi , Hossein Najd Sepas

{"title":"Salvage Aneurysmorrhaphy as an Adaptable and Still Pertinent Technique in the Management of Challenging True Aneurysms of Arteriovenous Fistulas: A Case Series of Different Variations, With Illustrative Surgical Pictures","authors":"Homa Pourriyahi , Homayoun Pourriahi , Hossein Najd Sepas","doi":"10.1016/j.ejvsvf.2024.05.002","DOIUrl":"10.1016/j.ejvsvf.2024.05.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Aneurysmorrhaphy, described as reduction aneurysmoplasty, partial aneurysmectomy, or vessel wall recalibration, can be considered a suitable surgical plan for true aneurysms of arteriovenous fistulas (AVFs), allowing for a dynamic approach to reconstruction of aneurysmal AVFs of different severities, ensuring salvage of the native access.</p></div><div><h3>Report</h3><p>Six challenging cases of AVF aneurysms are presented, some with extremely dilated and tortuous megafistulas, for which three surgical technique variations were performed. The patients had a mean age of 59.2 years, 50% were female, with brachiocephalic (<em>n</em> = 5, 83.3%) or brachiobasilic (<em>n</em> = 1, 16.7%) AVFs. The fistulas were created an average of 4.67 years previously, and the aneurysms had an average maximum diameter of 37.5 mm (range 25–60 mm). Surgical indications were rupture risk, thrombosis, or outflow stenosis compromising haemodialysis, infections, and concerns for quality of life (affected by post-puncture bleedings, disfiguring aesthetics, pain, and discomfort). The surgical techniques were simple aneurysmorrhaphy (<em>n</em> = 3, 50%), aneurysmorrhaphy with partial excision of aneurysmal segment with end to end anastomosis of venous ends (<em>n</em> = 2, 33.3%), and aneurysmorrhaphy with establishment of new venous outflow (<em>n</em> = 1, 16.7%). All AVFs were patent post-operatively and at follow up (mean 5.6 months, median one month). Haemodialysis was resumed through the AVFs at a mean of 2.17 weeks post-operatively, with placement of an alternative route for haemodialysis in the meantime. No patients experienced post-operative complications.</p></div><div><h3>Discussion</h3><p>Experience with the more challenging cases shows that aneurysmorrhaphy can still be considered an acceptable, flexible, and pertinent method for salvage of megafistulas, giving the surgeon the much needed versatility to adapt to anatomical and pathological variations, with high patency rates and minimal complications, especially when other treatment options are not possible in complicated cases. AVF salvage through aneurysmorrhaphy allows for a dynamic approach to the reconstruction of severely tortuous, dilated veins, ensuring patency of the native AVF.</p></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Pages 126-131"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000820/pdfft?md5=514ed86340b9762b5302c1210bd67dbe&pid=1-s2.0-S2666688X24000820-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141045874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0